IDA INS Health Care Cost Drivers Data Call

Updated on: Oct 13, 2026

Latest Event


  • Oct. 2026 IDA INS Press Release
  • On Oct. 8, 2026, IDA INS announced the issuance of Bulletin 26-16, re data call.
  • Explained the reason for the data call, addressed applicability, and listed required data.

On Oct. 5, IDA INS issued bulletin re health care cost reporting.

  • IDA INS issued Bulletin 26-16 for health insurers offering individual, small group, or large group major medical coverage in Idaho.
  • Mandatory Data Call
  • Collecting premium, enrollment, administrative expense, and claims information to conduct an analysis of health care costs in commercial health insurance market.
  • Applies to insurers that offered comprehensive major medical business for any reporting year from 2022 through 2025.
  • Includes individual, small group, and large group coverage, plus self-funded employer plans the insurer administers.
  • Excludes short-term health plans, student health plans, Medicare Advantage, Medicare Supplement, Medicaid managed care, stand-alone dental or vision coverage, other excepted benefits.
  • Reporting Template
  • Insurers must report the information specified in the Excel reporting template, following the instructions and data dictionary contained in the template.
  • Claims are reported on an incurred basis and must include payments made through at least Jul. 31, 2026.
  • Each submission must include a copy of the insurer's filed MLR Annual Reporting Form for Idaho for each reporting year from 2022 through 2025, in Excel format.
  • Deadline
  • Completed data submissions are due by Nov. 16, 2026.
  • Oct. 2026 IDA INS Press Release
  • On Oct. 8, 2026, IDA INS announced the issuance of Bulletin 26-16, re data call.
  • Explained the reason for the data call, addressed applicability, and listed required data.
Regulators
IDA INS
Entity Types
Ins
Reference
PR, 10/8/2026; Bul 26-16, 10/5/2026
Functions
Claims/Accelerated Benefits; Compliance; Legal; Product Administration; Reporting; Underwriting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Oct 5, 2026
Effective Date
Nov 16, 2026
Rule ID
315420
Linked to
N/A
Reg. Last Update
Oct 8, 2026
Report Section
US Insurance